Cited by 101Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessHealth and Medical Studies

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How impaired are children and adolescents by mental health problems? Results of the BELLA study

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Wille, Nora, Bettge, Susanne, Wittchen, Hans-Ulrich, Ravens-Sieberer, Ulrike, The BELLA study group·2008·European Child & Adolescent Psychiatry

DOI 10.1007/s00787-008-1005-0PMC PMC2757610

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Abstract

BACKGROUND: The consideration of impairment plays a crucial role in detecting significant mental health problems in children whose symptoms do not meet diagnostic criteria. The assessment of impairment may be particularly relevant when only short screening instruments are applied in epidemiological surveys. Furthermore, differences between childrens' and parents' perceptions of present impairment and impairing symptoms are of interest with respect to treatment-seeking behaviour. OBJECTIVES: The objectives were to assess parent- and self-reported impairment due to mental health problems in a representative sample of children and adolescents; to describe the characteristics of highly impaired children with normal symptom scores; and to investigate the associations between symptoms in different problem areas and impairment. METHODS: The mental health module of the German Health Interview and Examination Survey for Children and Adolescents (the BELLA study) examined mental health in a representative sub-sample of 2,863 families with children aged 7-17. Self-reported and parent-reported symptoms of mental health problems and associated impairment were identified by the extended version of the strengths and difficulties questionnaire (SDQ) in children 11 years and older. RESULTS: Considerable levels of distress and functional impairment were found with 14.1% of the boys and 9.9% of the girls being severely impaired according to the parental reports. However, self-reported data shows a reversed gender-difference as well as lower levels of severe impairment (6.1% in boys; 10.0% in girls). Six percent of the sampled children suffer from pronounced impairment due to mental health problems but were not detected by screening for overall symptoms. Childrens' and parents' reports differed in regard to the association between reported symptom scores and associated impairment with children reporting higher impairment due to emotional problems. CONCLUSIONS: The assessment of impairment caused by mental health problems provides important information beyond the knowledge of symptoms and helps to identify an otherwise undetected high risk group. In the assessment of impairment, gender-specific issues have to be taken into account. Regarding the systematic differences between childrens' and parents' reports in the assessment of impairment, the child's perspective should be given special attention.

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Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The Strengths and Difficulties Questionnaire: A research note
Goodman, R. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01545.x · Cited by 14,908
Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study
BIRMAHER, B., BRENT, D. A., CHIAPPETTA, L., BRIDGE, J., MONGA, S., & BAUGHER, M. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199910000-00011 · Cited by 2,252
Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample
Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.534 · Cited by 1,818
The Extended Version of the Strengths and Difficulties Questionnaire as a Guide to Child Psychiatric Caseness and Consequent Burden
Goodman, R. (1999) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00494 · Cited by 1,760
The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, Acceptability, Prevalence Rates, and Performance in the MECA Study
SHAFFER, D., FISHER, P., DULCAN, M. K., DAVIES, M., PIACENTINI, J., SCHWAB-STONE, M. E., LAHEY, B. B., BOURDON, K., JENSEN, P. S., BIRD, H. R., et al. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199607000-00012 · Cited by 1,587
The British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders
FORD, T., GOODMAN, R., & MELTZER, H. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200310000-00011 · Cited by 1,227 · cited 1×
“[15] in the British Mental Health Survey, a fifth of psychiatric cases had non-operationalised or ‘not otherwise specified’ disorders.”
Background
Mental health of children and adolescents in Great Britain
Meltzer, H., Gatward, R., Goodman, R., & Ford, T. (2003) · International Review of Psychiatry · doi:10.1080/0954026021000046155 · Cited by 1,214
10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden
Costello, E. J., Egger, H., & Angold, A. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000172552.41596.6f · Cited by 1,134
The Mental Health of Children and Adolescents in Great Britain
Meltzer, H., Gatward, R., Goodman, R., & Ford, T. J. (2000) · PsycEXTRA Dataset · doi:10.1037/e622732007-001 · Cited by 905

Show all 31 references

Research works printed but not linked: 2

Stiensmeier-Pelster J, Schürmann M, Duda K (1989) Depressionsinventar für Kinder und Jugendliche; DIKJ. Hogrefe, Göttingen
Organization World Health (1993) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. WHO, Geneva

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Authors: Wille, N., Bettge, S., Wittchen, H.-U., Ravens-Sieberer, U., & The BELLA study group
Affiliations: University Medical Center Hamburg-Eppendorf (DE)
Corresponding author: Wille, Nora
Venue: European Child & Adolescent Psychiatry
Publisher: Springer Science and Business Media LLC
Published: 2008-12
Volume: 17
Issue: S1
Pages: 42-51
ISSN: 1018-8827 (ISSN-L)
1435-165X
DOI: 10.1007/s00787-008-1005-0
PMC: PMC2757610
OpenAlex: W1969337703
Cited by: 101
References: 31
Citations by year: 2026: 3 · 2025: 4 · 2024: 3 · 2023: 10 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 1 · 2016: 8 · 2015: 7 · 2014: 6 · 2013: 5 · 2012: 6
FWCI: 5.21
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/2.0 (tdm)
creativecommons.org/licenses/by-nc/2.0 (vor, 38 d)
Locations: European Child & Adolescent Psychiatry (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Max Planck Institute for Plasma Physics (submittedVersion)
Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
Topics: Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
Keywords: psychiatric disability, children and adolescents, parent-child agreement, gender differences, emotional problems, Strengths and Difficulties Questionnaire, mental health screening, treatment-seeking behavior, functional disability
MeSH terms: Adolescent, Adolescent Psychiatry, Affective Symptoms, Attention, Mental Disorders, Child, Child Psychiatry, Family, Female, Germany, Humans, Interpersonal Relations, Male, Parents, Psychometrics, Quality of Life, Surveys and Questionnaires, Self Disclosure, Severity of Illness Index, Stress, Psychological, Prevalence, Odds Ratio, Cost of Illness, Sex Distribution

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How impaired are children and adolescents by mental health problems? Results of the BELLA study

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